ELICIA AZALIA CARRILLO

FRESNO, CA
NPI1730792532
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence:   151002)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
106H00000X Marriage & Family Therapist
(Licence: CA  129602)
Enumeration Date2020-08-31
Last Update Date2024-11-04
Business Address
ELICIA AZALIA CARRILLO
2560 W SHAW LN STE 104
FRESNO, CA 93711-2777
Phone number: 559-443-4800
Mailing Address
ELICIA AZALIA CARRILLO
2560 W SHAW LN STE 104
FRESNO, CA 93711-2777
Phone number: 559-443-4800